SIGNATURE SMILES WOODLANDS, PLLC (NPI# 1740641976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740641976 |
| Entity Type | Organization |
| Organization Name | SIGNATURE SMILES WOODLANDS, PLLC |
| Practice Address |
2400 Fm 1488 Suite 200 Conroe TX 77384 |
| Mailing Address |
3800 N Shepherd Dr # 3b Houston TX 77018-6400 |
| Practice Telephone | 7137019845 |
| Practice Fax Number | 7136738039 |
| Mailing Telephone | 7137019845 |
| Mailing Fax Number | 7136738039 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | DR. BRIAN PAUL STANWORTH (OWNER) |
| Authorized Official Telephone | 8323342476 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2400 FM 1488 SUITE 200 |
| City | CONROE |
| State | TX |
| Zip Code | 77384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| 1700169851 | Tsa Surgical Assisting Service LLC | Contractor | 111 Vison Park Blvd., First Surgical Woodlands Texas, Conroe, TX 77384 | 2011-09-26 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1619496882 | Everest Dental Conroe Corporation | Clinic/Center | 2104 N Frazier St Ste D, Conroe, TX 77301-1250 | 2017-09-19 |
| 1649787524 | Smile Revolution Pllc | Clinic/Center | 600 S Conroe Medical Drive, Ste 104, Conroe, TX 77304 | 2018-01-02 |
| 1992243901 | Carrick Dentistry, P.a. | Clinic/Center | 1805 W White Oak Ter, Ste. D, Conroe, TX 77304-3456 | 2017-02-09 |
| 1093097446 | Jars Dental Care, Pllc | Clinic/Center | 2017 N Frazier St, Ste. E, Conroe, TX 77301-1233 | 2011-09-12 |
| 1972818961 | Lone Star Community Health Center, Inc | Clinic/Center | 506 Medical Center Blvd, Suite 320, Conroe, TX 77304-2827 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1821698788 | All About Smiles Pllc | Clinic/Center | 6420 N Macarthur Blvd Ste 120, Irving, TX 75039-2838 | 2020-10-29 |
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
| 1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
| 1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
| 1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
| 1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.